Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $3,981.07 / $6,760.83	Facility		$302.00	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $194.98 / $457.09	Professional		$173.78	$194.98	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $457.09 / $524.81	Professional		$426.58	$457.09	$524.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $302.00 / $812.83	Professional		$173.78	$302.00	$812.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $4,677.35 / $12,882.50	Facility		$295.12	$4,677.35	$12,882.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $398.11 / $758.58	Professional		$218.78	$398.11	$758.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $457.09 / $776.25	Professional		$407.38	$457.09	$776.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $512.86 / $537.03	Professional		$354.81	$512.86	$537.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $398.11 / $489.78	Professional		$5.01	$398.11	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $9,549.93 / $13,182.57	Facility		$6,309.57	$9,549.93	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $602.56	Professional		$208.93	$309.03	$602.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $416.87	Professional		$354.81	$354.81	$416.87